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National Council Licensure Examination(NCLEX-PN) Questions 536–540 (page: 109)

Updated On: 9-Feb-2026

You will be reinforcing teaching and instructing the patient. Which basic principle of teaching should you follow?

  1. Sequence the instruction from the least complex to the most complex.
  2. Assume that the patient knows little or nothing about the topic.
  3. Tell the patient to call their significant other so you can instruct them.
  4. Use medically oriented terms so the patient will be able to speak with the doctor.

Answer(s): A

Explanation:

You should sequence the instruction from the least complex to the most complex when reinforcing teaching and instructing the patient.
For example, if you are instructing the patient about coughing and deep breathing, you should begin the instruction by demonstrating normal breathing, then deep breathing and finally combining deep breathing with coughing.
You should not assume that the patient knows little or nothing about the topic, you should determine what they know. It is not necessary to have the patient call their significant other so you can instruct them; this is only necessary when the patient is not able to understand the instructions.
Lastly, you should not use medically oriented terms and medical jargon, but instead, terms that the patient understands.



Clumsiness, difficulty running, climbing, and riding a bicycle are some of the earliest signs and symptoms of ______________.

  1. duchennes’s muscular dystrophy
  2. osteomyelitis
  3. talipes or clubfoot
  4. septic joint, suppurative arthritis

Answer(s): A

Explanation:

Clumsiness, difficulty running, climbing, and riding a bicycle are some of the earliest signs and symptoms of Duchenne’s muscular dystrophy. This disorder is a sex-linked inherited genetic skeletal muscle wasting disorder and it is the most severe and most common of all dystrophies.
Osteomyelitis is an infection with the bone.
Talipes is a deformity of the foot and ankle and it is physically discernible.
Septic arthritis is an infection of a joint that will also show visible signs of its presence.



Idiopathic thrombocytopenia purpura is ______________.

  1. highly similar to disseminated intravascular coagulation (DIC)
  2. caused by the over production of platelets
  3. a bleeding disorder that is characterized with too few platelets
  4. treated with immune system boosting medications

Answer(s): C

Explanation:

Idiopathic thrombocytopenia purpura is bleeding disorder that is characterized with too few platelets, not the over production of platelets. Disseminated intravascular coagulation (DIC) is characterized with blood coagulation and not bleeding.
The treatments of idiopathic thrombocytopenia purpura can include immune system depressants, not stimulants, prednisone, high-dose gamma globulin and anti RhD therapy.



Select the type of skeletal fracture that is correctly paired with its description.

  1. A complete fracture: The fractured bone penetrates through the skin to the skin surface.
  2. A pathological fracture: A fracture that results from some physical trauma.
  3. A greenstick fracture: This bends but does not fracture the bone.
  4. An avulsion fracture: A fracture that pulls a part of the bone from the tendon or ligament

Answer(s): D

Explanation:

An avulsion fracture pulls a part of the fractured bone from the ligament or tendon.
A complete fracture is one with which the whole cross section of the bone is fractured; a compound or opened fracture pierces through the skin;
a pathological fracture results from an underlying disease or disorder not physical trauma or stressors. Lastly, a greenstick fracture is a skeletal bone fracture that affects only one side of the bone.



Which healthcare associated infection is the greatest risk for patients?

  1. Pneumonia
  2. Catheter related infections
  3. Intravenous line infections
  4. C difficile

Answer(s): B

Explanation:

Catheter related infection is the most commonly occurring healthcare associated infection, therefore, these infections are the greatest risk for patients. For this reason, indwelling urinary catheters are used only when necessary and, then, they remain in place for the briefest period of time possible.
Pneumonia, intravenous line catheters and C difficile are all healthcare associated infections, however, they do not occur as frequently as indwelling urinary catheters do.



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